Organization
CAROLINAS PHYSICIANS NETWORK, INC
Active
Parent organization
CAROLINAS PHYSICIANS NETWORK, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINAS PHYSICIANS NETWORK, INC
Authorized official
MISS THOMAS FORD LAYMON (SVP)
(704) 631-0002
Entity
Organization
Contact information
Practice address
420 PARK ST, SUITE 105A, BELMONT, NC 28012-3393
(704) 631-1820
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(704) 631-1820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780077099
MEDICAID DME
NC
05
—
1780077099
—
NC
Enumeration date
03/11/2015
Last updated
08/09/2016
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